Spinal Cord Tumors: Early Symptoms and Neurosurgical Treatment Options

Tumors are masses of cells that can form anywhere in the body, including the spine and surrounding areas. The spinal cord is a tubular structure that runs from the base of your neck to the lower back and contains many bundles of nerves which connect to different parts of the body, essentially serving as a highway for all information to and from the brain. If you have cancer or notice symptoms like numbness, radiating pain or loss of sensation- you should consult a neurologist for spinal cord tumor treatment, at KIMS Sunshine Hospital without any delay!
Causes for Spinal Cord Tumors-
Spinal cord tumors can be benign or malignant. If they get large in size, they can damage other delicate tissue in the region. Spinal cord tumors can be of different types, affecting specific cell types- like an ependydoma, astrocytoma or a hemangioblastoma – which influence behaviour of ependymal or fluid producing cells, astrocytes and cells which produce blood vessels in the brain and spinal cord respectively. If they form only in the spinal cord alone, it is a primary tumor.
Other tumors can form in the dural sheath or outermost layer like meningioma, neurofibroma, schwannoma, glioblastoma, myxopapillary ependydoma- these are benign too. All other tumors that form are a result of metastatic cancer and termed secondary spinal cord tumors.
Spinal Tumor Symptoms And Early Signs-
You may have the following symptoms-
- Back or neck pain is common- this may get worse at night or when you rest and does not get better even when you lie down or try to sleep.
- Muscle weakness and paralysis– Nerves can get compressed due to the presence of the tumor, which can impact muscle function and make movement challenging in severe cases.
- Radiating pain with numbness- You may notice shooting pain from the spine and goes till the legs, hips, feet or arms. Tingling is another symptom that can be felt in the chest cavity.
- Bladder and bowel function change– You may have incontinence or loss of sensation due to nerve compression. This is severe and needs treatment.
Diagnosis of Spinal Cord Tumors-
Imaging is the first and best way employed to diagnose spinal cord tumors.
Initial tests include neurological assessment and a detailed physical exam. These are next steps-
- MRI– MRI spine tumor diagnosis is common as these scans provide high resolution and exquisite detail of the spinal cord, soft tissue and all nerves and other tissue types. Contrast MRI can provide better differentiation.
- Biopsy of the tumor– stereotactic or with open surgery- in the first one, a needle is used to take a tissue sample. In the second, doctors try to remove the whole or parts of the tumor. It is invasive. Spine tumor surgery is a great option if the tumor is localised and has not spread to other parts of the spine or body.
Treatment of Spinal Cord Tumor-
The location and size are ascertained during diagnosis and then treatment plans are made.
- Benign and localised tumors – primary ones are normally surgically removed. You will need help from an experienced neurosurgeon for spine tumor excision. Metastatic tumors need chemotherapy or radiation therapy and partial removal of tumors may be done.
- Minimally invasive spine surgery is usually preferred for primary tumor resection.
- Nerve decompression surgery can also be done in a minimally invasive way- so that there is space for radiation to be delivered to tumors which have formed due to metastasis.
- Radiation surgery can also be done- stereotactically so that surrounding tissue does not get affected and only cancerous cells get destroyed.
- High dose X-rays are also used at times.
- Chemotherapy and targeted therapy are also possible options.
Conclusion
Like all tumors or conditions, early diagnosis means better long term prognosis. So, if you have any concerns or symptoms, please call us at KIMS Sunshine Hospital, as we are the best hospital for spinal tumor surgery in Hyderabad. Schedule an appointment today!